{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:44Z","timestamp":1786649444780,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Purulent pericarditis is a rare but severe complication of bacterial pericarditis, often secondary to intrathoracic infections, and can cause a hepatic abscess that ruptures into the pericardium, which is an uncommon symptom with a high mortality rate if untreated. We report on a 52-year-old man with a poorly differentiated hepatocellular carcinoma who presented with chest pain and pericardial effusion caused by a hepato-pericardial fistula. Imaging revealed hepatic microabscesses extending into the pericardium. The patient underwent a pericardial window procedure with purulent fluid drainage and was treated with meropenem for\n                    <jats:italic toggle=\"yes\">Enterobacter cloacae<\/jats:italic>\n                    . Postoperatively, the bilateral pleural effusions required chest drains. After 3 weeks of multidisciplinary care, the patient was discharged in a stable condition. This case highlights the importance of early diagnosis and a multidisciplinary approach in managing rare complications of purulent pericarditis caused by hepatic abscesses. Timely surgical intervention and appropriate antibiotic therapy are crucial for favorable outcomes.\n                  <\/jats:p>","DOI":"10.4103\/tjem.tjem_256_24","type":"journal-article","created":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T09:00:13Z","timestamp":1767258013000},"page":"75-77","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A rare case of purulent pericarditis arising from a hepato-pericardial fistula"],"prefix":"10.4103","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7189-5694","authenticated-orcid":false,"given":"Khaled Alaboud","family":"Alkheder","sequence":"first","affiliation":[{"name":"Department of Emergency, Tawam Hospital, Al Ain, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3428-2678","authenticated-orcid":false,"given":"Omar Farooq","family":"Al-Nahhas","sequence":"additional","affiliation":[{"name":"Department of Emergency, Tawam Hospital, Al Ain, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3131-6449","authenticated-orcid":false,"given":"Yousif Basim","family":"Al-Khafaji","sequence":"additional","affiliation":[{"name":"Department of Emergency, Tawam Hospital, Al Ain, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2432-3192","authenticated-orcid":false,"given":"Ammar Alshirazi","family":"Alssabagh","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Tawam Hospital, Al Ain, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0396-0173","authenticated-orcid":false,"given":"Sudarshana Reddy","family":"Thiyyagura","sequence":"additional","affiliation":[{"name":"Department of Emergency, Tawam Hospital, Al Ain, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,1]]},"reference":[{"key":"R1-20260102","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/MD.0b013e318194432b","article-title":"Purulent pericarditis:Report of 2 cases and review of the literature","volume":"88","author":"Parikh","year":"2009","journal-title":"Medicine (Baltimore)"},{"key":"R2-20260102","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1161\/CIRCULATIONAHA.114.012078","article-title":"Transdiaphragmatic rupture of hepatic abscess producing purulent pericarditis and pericardial tamponade","volume":"131","author":"Reddy","year":"2015","journal-title":"Circulation"},{"key":"R3-20260102","first-page":"e11759","article-title":"Pericardial effusion secondary to amoebic liver abscess:A rare complication","volume":"12","author":"Raza","year":"2020","journal-title":"Cureus"},{"key":"R4-20260102","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/S0272-5231(01)00008-9","article-title":"Thoracic amebiasis","volume":"23","author":"Shamsuzzaman","year":"2002","journal-title":"Clin Chest Med"},{"key":"R5-20260102","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/hpb.12332","article-title":"Percutaneous needle aspiration versus catheter drainage in the management of liver abscess:A systematic review and meta-analysis","volume":"17","author":"Cai","year":"2015","journal-title":"HPB (Oxford)"},{"key":"R6-20260102","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/ehjcr\/ytaa182","article-title":"A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window","volume":"4","author":"Francis","year":"2020","journal-title":"Eur Heart J Case Rep"}],"container-title":["Turkish Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/tjem.tjem_256_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:15Z","timestamp":1786647255000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/tjem.tjem_256_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/tjem.tjem_256_24","relation":{},"ISSN":["2452-2473","2452-2473"],"issn-type":[{"value":"2452-2473","type":"print"},{"value":"2452-2473","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-12-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}